Dr Michael R Petersen, MD | |
2000 N Huron River Dr Ste 100, Ypsilanti, MI 48197 | |
(734) 572-1200 | |
(734) 572-9760 |
Full Name | Dr Michael R Petersen |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 38 Years |
Location | 2000 N Huron River Dr Ste 100, Ypsilanti, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629005160 | NPI | - | NPPES |
180026057 | Other | OH | RAIL ROAD MEDICARE |
100374400 | Medicaid | IN | |
000000021228 | Other | BCBS | |
0886528 | Medicaid | OH | |
64930167 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 35-06-3107 (Ohio) | Secondary |
207WX0107X | Ophthalmology - Retina Specialist | 4301406847 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cei Physicians Psc, Llc | 0749186427 | 143 |
Entity Name | Cei Physicians Psc, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942296298 PECOS PAC ID: 0749186427 Enrollment ID: O20031211001059 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael R Petersen, MD 39650 Orchard Hill Pl Ste 200, Novi, MI 48375-5391 Ph: (248) 319-0161 | Dr Michael R Petersen, MD 2000 N Huron River Dr Ste 100, Ypsilanti, MI 48197 Ph: (734) 572-1200 |
Joanne Jeean Choi, Ophthalmology Medicare: Medicare Enrolled Practice Location: 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197 Phone: 734-712-3980 | |
John P Barletta, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5477 W Clark Rd, Ypsilanti, MI 48197 Phone: 734-434-6000 Fax: 734-434-7005 | |
Dr. Maxwell William Dixon, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5477 W Clark Rd, Ypsilanti, MI 48197 Phone: 734-434-6000 Fax: 734-434-7005 | |
Dr. Barry R Fuller, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5477 W Clark Rd, Ypsilanti, MI 48197 Phone: 734-434-6000 Fax: 734-434-7005 | |
Dr. Donna Judith Tal, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Suite 6015, Ypsilanti, MI 48197 Phone: 734-434-7400 Fax: 734-434-7323 | |
Dr. Sunita Yedavally, DO Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2000 N Huron River Dr, 100, Ypsilanti, MI 48197 Phone: 734-572-1200 Fax: 734-572-9760 | |
Thomas E Kehn, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5477 W Clark Rd, Ypsilanti, MI 48197 Phone: 734-434-6000 Fax: 734-434-7005 |